| Foot And Ankle Care Of Boulder County | |
|
1400 28th St Ste 2, Boulder, CO 80303-1096 | |
| (303) 449-2000 | |
| (303) 449-9475 |
| Full Name | Foot And Ankle Care Of Boulder County |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1400 28th St Ste 2, Boulder, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154890291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Brian Gradisek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700178092 PECOS PAC ID: 5698994515 Enrollment ID: I20150924001519 |
| Provider Name | Nicole Megan Roth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770879413 PECOS PAC ID: 7416178983 Enrollment ID: I20190129001504 |
| Mailing Address | Practice Location Address |
|---|---|
| Foot And Ankle Care Of Boulder County Po Box 21150, Boulder, CO 80308-4150 Ph: (303) 546-9158 | Foot And Ankle Care Of Boulder County 1400 28th St Ste 2, Boulder, CO 80303-1096 Ph: (303) 449-2000 |
Thomas E Shonka, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1400 28th St, Suite 2, Boulder, CO 80303 Phone: 303-449-2000 Fax: 303-449-9475 | |
John S Jachimiak, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2575 Pearl St, Suite 240, Boulder, CO 80302 Phone: 303-442-2910 Fax: 303-442-2931 | |
Dr. Kristine Marie Hoffman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3000 Center Green Dr, Suite 210, Boulder, CO 80301 Phone: 303-443-8900 Fax: 303-442-3140 | |
Foot And Ankle Care Of Boulder County Podiatrist Medicare: Medicare Enrolled Practice Location: 1400 28th St Ste 2, Boulder, CO 80303 Phone: 303-449-2000 Fax: 303-449-9475 | |
Dr. Mark A Birmingham, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3036 Fax: 303-440-3232 | |
Logan Christiansen, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1400 28th St, Boulder, CO 80303 Phone: 303-449-2000 Fax: 303-449-9475 |